|
:u'•
<br /> •.. .. ... .., . .: ... � :: :� .. - ,... - . .. :. . . . • ...J , i reIN •
<br /> 113:- _ tii^':.- ily4; - -
<br /> .+ il'
<br /> . •.... . . . � .. � • .. = cJ_1J51.. L' :i:l} ::Nliwi: :yy IN .. . uµ'
<br /> .. . .. ., :., .l.l' .... .. -_ .. fl .�, .. .....,. i..l1 _, r 1... (:III.S..., [ [ f�.::�.
<br /> • t
<br /> �.. ._ � r . . . ..: :� : �,, l. .. ........5_ .- .....: :: -aJ ....r....�- ..7aultli.ut[:if- _
<br /> .... ..KNIT _ ;J. i _Ir. :.a .. �.
<br /> ... _.... -. ,.... ...r .J. r•, .. ._...... ... .•\ +.{r ., .. ....t [:L ..:�?I...: \: [:: �: II:: ,k:�...ai..:- .J.iit
<br /> ._ ... ,. .,. ....... ,......c. .... ! i � .. _.. .. ^ e:.. au.- ... i, � .. �• .:.wN. r-a�:r �'�i: - :ahi °�� ::;�'[•� - _ - - . " . E (
<br /> .._.. - . A. .. .... ...... '... u a. n .: ae a l. _..,.. � .In tw:I?I� ... ` r i � ..,a.7 : A :, • �9y"' iC V. ••_•_�� _
<br /> Producer THIS CERTIFICATE 1S ISSUED AB A MATTER OF INFORMATION ONLY
<br /> AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER THIS
<br /> BROWN & BROWN INC AFFORDED! P MOT EXTEND OR ALTER THE COVERAGE
<br /> 220 SOUTH RIDGEWOOD AVENUE
<br /> P 0 BOX 2412 COMPANIES AFFORDING COVERAGE
<br /> COMPANY
<br /> DAYTONA BEACH, FL 32115 A GREENWICH INSURANCE CO 22322
<br /> soma — 011PANY —
<br /> WAYNE AUTOMATIC FIRE SPRINKLERS, INC. 8 HARTFORD CASUALTY INSURANCE CO 29424
<br /> HAZARD FIRE PROTECTION ENGINEERING C ' ' ANY
<br /> 222 CAPITOL COURT C NA WANT 38086
<br /> OCOEE FL 34781 coMP
<br /> D FFVA MUTUAL INSURANCE CO (FL ONLY) 10386
<br /> COMPANY
<br /> E HARTFORD INSURANCE CO OF THE SOUTHEAST 38261
<br /> COMPANY
<br /> COVERAGES ......:..........., .....,
<br /> ........... .
<br /> THE POLICIES OF INSURANCE BELOW HAVE BEEN ISSUE • TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED, NO7WITHSTANOING ANY
<br /> REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY "
<br /> ITI
<br /> PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> CO
<br /> LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFPECTNE POUCY LIMITS
<br /> PATE (MM/OTYY) EXPIRATION
<br /> DATE I/MD0 YY)
<br /> GENERAL Lumpur*, RMGB40012401 09/01/08 09/01/09 GENERALAD0REGATE $ 2,000 000
<br /> A ® OMMERCIAL GENERAL UABILITY PRODUCTS - COMP /OP AGG 1
<br /> 01:1 CLAIMS MADE ® OCCUR $ 2,000,000
<br /> _ PeRBONAL LADY INJURY $ 1,000,000 T kg OWNER'S
<br /> MFRS£ A CONTRACTOR'S O LAM $1,000,000
<br /> EACH OCCURRENCE
<br /> ,rftE
<br /> APPLIES PER PROJECT DAMAGE (Ai - c4 $ 60,000
<br /> MED ExP (Any one Person) $ 5,000
<br /> 8 J AuTONOBILEUAIRLrrn 21UENLJ7216 09 /01/08 09/01/09 $ 1,000,000
<br /> 0 ANY AUTO . COMBINED SINGLE UMIT
<br /> 0 AU. OWNED AUTOS
<br /> El HIRED AUTOS . BODILY ;AWRY $
<br /> (Per Person)
<br /> ® NON.OWNED AUTOS
<br /> ❑ BODILY INJURY $
<br /> ❑ �PMAOddenp i
<br /> PROPERTY DAMAGE $
<br /> GARAGE L1ABU TTY AUTO ONLY.EA ACCIDENT •
<br /> ANY AUTO OTHER THAN ONLY:
<br /> ❑ 'EACHACCDENT 'r►,''':Y:i_(;y, .; : :: ` :'(
<br /> AGGR TE $ !i
<br /> C EXCESS/UMBRELLALIABILITY NYO$EXC189817NC 09 /01/08 09/01/09 EACH OCCURRENCE
<br /> occuNRENCE $ 1,00a,o00
<br /> AGGREGATE s 1 000 000
<br /> WDRIfEg9 COMPENSATION ANT/ SIR $ 10,000
<br /> D EMPLOYERS LIABILITY WC84000168652009A 04/01/09 aro1 /10 — � STATUTORY LIMITS
<br /> Florida
<br /> TNF• PROPRIETOR/ EACH ACC
<br /> PARTNERS/EXECUTIVE
<br /> ❑ M DENT
<br /> ^i $ 600,000
<br /> OFFICER$ ARE ❑ EXCL OISEISE^POUCY LIMIT $ 500
<br /> DISEASE -EACH EM PLOYEE ; 500'000
<br /> E OTHER
<br /> LEASED/RENTED EQUIPMENT 21MSLJ8023 09/01/08 09/01/09 1100,000 PER ITEM
<br /> 82,500 DEDUCTIBLE 3200000 AGG
<br /> DESCRIPTION OP DPERATION9ILocAT1oNINENICLm,s ec*AL ITEM$
<br /> CANCELLATION: EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
<br /> BEFORE
<br /> CITY OF ZEPHYRHILLS THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
<br /> 5335 Y OF MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO
<br /> HILLS, FL 33542 THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION
<br /> OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
<br /> REPRESENTATIVES.
<br /> LIW.,4
<br /> ' ACORO 2s-S (3183)...: ,,', • ' ' ' , . - - ,
<br /> >m ACORO CORPORA ION 18B
<br /> 1
<br /> i
<br />
|